Anejaculation is characterized by the absence of semen emission despite adequate sexual stimulation. It may result from neurological injury, diabetes mellitus, spinal cord disorders, pelvic surgery, or psychological factors.
From an andrological perspective, distinguishing anejaculation from retrograde ejaculation is essential, as management strategies differ significantly. Diagnostic evaluation often includes post-ejaculatory urine analysis and neurological assessment.
Treatment options depend on etiology and may involve pharmacological stimulation, vibratory or electroejaculation techniques, or assisted reproductive erotic technologies when fertility is desired.
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